# IDSA Practice Guidelines vs Pyrls

IDSA Practice Guidelines and Pyrls both sit at 4.8 stars, but that hides the real split: 85% of Pyrls's written reviews are positive against 0% of IDSA Practice Guidelines's. Pyrls also leads on update cadence (every 9 days vs every 7 months) and chart position (#99 vs unranked). IDSA Practice Guidelines's advantage is in-app purchases (none vs 4) and ratings volume (559 vs 135). On price, rating, ads and device support there is nothing between them.

Both are free to download. Pyrls sells 4 in-app purchases, starting at $40.00 per month. IDSA Practice Guidelines asks for nothing beyond the download.

On the App Store both sit at effectively the same score — 4.8 for IDSA Practice Guidelines against 4.8 for Pyrls. Both are backed by a comparable volume of ratings — 559 and 135 respectively. Written reviews are what separate them: 0% of IDSA Practice Guidelines's written reviews are positive against 85% of Pyrls's.

IDSA Practice Guidelines ships an update every 7 months, Pyrls every 9 days. Both last shipped on October 12, 2026.

## The numbers

| Metric | IDSA Practice Guidelines | Pyrls |
| --- | --- | --- |
| Price | Free | Free |
| Rating | **[4.8 (559 ratings)](https://appshunter.io/ios/app/idsa-practice-guidelines/id1478886375/reviews)** | [4.8 (135 ratings)](https://appshunter.io/ios/app/pyrls/id1517540628/reviews) |
| Number of ratings | **559** | 135 |
| Positive reviews | 0.0% of reviews | **84.8% of reviews** |
| In-app purchases | **No** | Yes |
| Ads | No | No |
| Update frequency | Every 7 months | **Every 9 days** |
| Monetization | **Free** | Free with in-app purchases |
| Best chart rank | — | **#99** |
| Size | 105 MB | 80 MB |
| Requires iOS | **12.0** | 13.0 |
| Devices | **iPhone, iPad, iPod** | iPhone, iPod |
| Age rating | 17+ | 17+ |
| Developer | [Infectious Diseases Society of America](https://appshunter.io/developer/1477996603) | [Cosmas Health LLC](https://appshunter.io/developer/1517540627) |

## What reviewers say

### IDSA Practice Guidelines

[App page](https://appshunter.io/ios/app/idsa-practice-guidelines/id1478886375)

Access and stay updated with the latest clinical guidelines from the Infectious Diseases Society of America. This app offers interactive tools, search functionality, and the ability to bookmark key information and take notes for healthcare professionals.

**Highlights:** Access clinical guidelines, Interactive tools, Search guidelines, Bookmark pages, Take notes

**Features:** macOS Compatibility

**In-app purchases:** none


### Pyrls

[App page](https://appshunter.io/ios/app/pyrls/id1517540628)

**Currently charting:** #99 Top Grossing · Medical (US App Store)

This app provides essential drug information for medical professionals, focusing on practical details like indications, pharmacology, and counseling points. It offers quick access to key data, reference tables, and clinical pearls to aid in medication management and patient care.

**Highlights:** Drug naming and indications, Pharmacology details, Counseling points, Safety and monitoring information, Reference tables and charts

**Features:** macOS Compatibility, Vision Pro support

**In-app purchases (4)**

| Purchase | Price | Billing |
| --- | --- | --- |
| Pyrls Monthly Membership | $40.00 | per month |
| Annual: Student/New Provider | $119.99 | per year |
| Pyrls 6-Month Membership | $119.99 | per 6 months |
| Annual: Professional | $179.99 | per year |

**What reviewers like**

- 👍 Easy to use and navigate
- 💡 Excellent resource for drug information
- 📊 Fantastic charts and summaries
- 📚 Helpful for students and practitioners
- 🚀 Quick access to information

**What reviewers complain about**

- 📉 Incomplete drug database
- 💰 Expensive subscription for some
- ❓ Some users experience issues with free content

**Reported bugs**

- Free NAPLEX questions do not open
- App does not open

**Requested features**

- iPad mini support
- Fund business outside of user subscriptions


## Frequently asked questions

### Is IDSA Practice Guidelines free?

IDSA Practice Guidelines is free to download, with no in-app purchases.

### Is Pyrls free?

Pyrls is free to download, with in-app purchases available.

### Which has better reviews, IDSA Practice Guidelines or Pyrls?

IDSA Practice Guidelines is rated higher. IDSA Practice Guidelines averages 4.8 out of 5 from 559 ratings, while Pyrls averages 4.8 from 135 ratings.

### Do IDSA Practice Guidelines or Pyrls have ads?

Neither IDSA Practice Guidelines nor Pyrls shows ads.

### Which is updated more often, IDSA Practice Guidelines or Pyrls?

IDSA Practice Guidelines ships an update every 7 months, and Pyrls every 9 days. Most recently, IDSA Practice Guidelines was updated on October 12, 2026 and Pyrls on October 12, 2026.

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*Compared by [AppsHunter](https://appshunter.io/) from daily US App Store data. Review summaries are generated from verbatim App Store reviews.*